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Home My WebLink About039-450-00439-45-4 y _� LLIE SHIVELY /D/ 480 Dayton Durham Hwy, Durham Permit ##3770-78B (reroof) SF 39-45-04 3290-90B SHIVELY, Hallie 2510 Durham Dayton Hwy, Durham Contr: Butte' Roofing (reroof /sf) 39-45-0 92-1277P9E,M SHIVELY, Hallie' 2510. Durham,Dayton.'Hw 'Durham ,r ..contra Artic Aire gas line,y elec,, new..hvac/sf. --39-45-4 2-1571E SHIVELEY, Hallie 2510 Durham Da on Hwy, Durham contr: Arti ire elec ser sf -cmr. R� r„yx . .e- ., ... ''R t, A Tu' 1'•” i 1t'.:� d�{5`47:; :i�'e_pl:�;a�i t14�FY Ste. "�. `*444W _. fi+ 'i.�`.',j •�j�;, ..^"1 '�. 39-45-4 92-1571E y SHIVELE , Hallie 2510 Durham Dayton Hwy, Durham contr: Artic Aire elec sery/sf COUNTY OF BUTTE ' -*DEPARTMENT OF PUBLIC WORKS ' 7 County Center..Drlve - Orovllle, Callfo'le 95985 - Telephone: 918.538.7541 APPLICATION :J ND PERMIT 9PERMIT NO. ASSESSOR L NUMBER 0394 ZONING ? • .� BUILDING PERMIT OWNER Rallis ffilvely TELEPHONE 343-7471 LSO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2510 Durhm Dayton Hwy, Durr 95938 CONTRACTOR'S NAME Artie A re Asada 3 AC TELEPHONE 895-3330 CONTRACTOR'S MAILING A DRESS 2836ffiff 32 Chiefs 5926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 2510 Durhm Dayton Hwy. Durhm Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME [PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [11 Duplex❑ Mobilehome❑ Other SPECT FV Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New IF Addition❑ Remodel❑ Utilities nstallationE] Other® Describe work: Electric !rise 163! $.P 2"-192 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 118.50 1$ 200A OR LESS .50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declpp�re under penalty of perjury (check one): _ I am licensed under provisions of Chapt. 9, -Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. . —' it �> Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) Fl 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&3.64 sq.ft. ) OR ACDNS. ACC. BLDGS. / NEW CONSTR MULTI -OUTLET LET NO N.RESI D• BRANCH CIRCUITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESIO.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ • — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this perm,!! shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. /.. X _ Date "f Signature of Applicant.- ., Owner ❑ Contractor ❑ Agent &1' An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ HAz I DFEES IMP I FLOOD CDF PARCEL PO HD ISSUE his -permit is hereby issued under the applicable provi- sions of th tte county Code and/or resolutions to do work indi d Abe for which fees have been paid. ¢i%EC OR OF PUBLIC WORKS By .• ;� _ to 1,, PERMIT EXPIRES Date S" 'P Receipt No. 11534b WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov4l.ley California 95965 - Telephone: 916,'536-7541 APPLICATION AND PERMIT PERMIT NO. 1 I ASSESSOR PARCEL NUMBER 039-450-004 ZQPNING BUILDING PERMIT OWNER Hallie Shively343-7471 TELEPHONE SO. FT. OCC. BUILDING VAL ATION OWNER'S MAILING ADDRESS 2510 Durham Dayton Hwy, Durham 95938 ' CONTRACTOR'S NAME Artie Aire HeatinD & AC TELEPHONE 895-3330 CONTRACTOR'S MAILING A DRESS 2838 Hwy 32 Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADCRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK Newtrj' Addition ❑ Remodel❑ Utilities❑ Installation❑ Other® Describe work: Electric Service RE: B.P. #1277-92 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS18.50 Main service 200A TO IOOOA, CONTRACTORS LICENSE LAW I de a under penalty of perjury (check one): i am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Coe d my license is in full force and effect. License .Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason _37.50 NEW CONST. / DWELLING OCCUP.&) 3.6C sq.ft. OR ACDNS. 1 ACC. BLDGS. I NEW CONSTRESID, RANC CH CIRC NON•R ESI D' BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETs OR FIXTURES 20 760 Ex. Occup. OUTLETS FIXED PIRESI D.lRE A.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 33.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is fcr $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, i demnify and keep harmless the County of Butte against all H lities, judg tscosts, and expenses which may in any way accrue aga st s id County i �ccouence of the granting of this p rmit. X / Dat Signature of Applicant - Owner g pp ❑ Contractor ❑ Agent An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz OFEES IMP FLOOD CDF PARCEL PD HD SSUE rmit is hereby issued under the applicable provi sions of the B tte County Code and/or resolutions to do work indi d e for which fees have been paid. OR OF PUBLIC WORK BY ate J iY PERMIT EXPIRES Date S"' Receipt No. 115344 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,.�,""""i-«1►��: j+,'�'� -"�"' '�' . e ...n �.Iw� .7.Y�,M1N1� I^ i-►-�z^r'�� '�Tjti�"{r.�y,+�i'iif�i,�'b�."V�'"�'liA. r „�"�^. i +, . � l � ,,, COUNTY OF BUTTE - DEPARTMENTOF. PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE•oCALIFORNIA 95965 - TELEPHONE (918) 538-754�1� PERMIT APPLICATION DATA SHEET OWNER¢ No C73 4SO 'd O4% Proposed Building Use_eaBuilding Inspector Date 5 -tet Z At time peribiit application, I was advised the following data must be submitted prior top rmit processing and/or issuance: N DATE RECEIVED BY 1. All items have been submitted. ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... ... . 20. Pre -inspection for to Building ins request--- required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization ..................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant ��/ �� Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by i Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orov.,l-le, California 95965 - Telephone' 916; .536.7541 / APPLICATION AND PERMIT A!!E!! R PA t,F NU BUILDING PERMIT NER TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING AO ESS -� ant, 95 C NTRACTOR'S NAME ��1y T LE PHONE C N RACTO MA LING DDRESS LFireplace ONSTRUCTION LE DER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit fee $ PLUMBING PERMIT Filing Fee 15.00 JJ Each Trap I 5.00j Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME P4RCEL MAP Water piping 7.00 Each aas water heater or vent 1 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition a Rem1odel;❑ Utilities ❑ Installation❑ Other Describe work: le �e`�U _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service R LESS 200AORLESS 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 19 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License *Jo. 3� �/ 3 Classification U I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) [f I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP. e\ 3.61t sq.ft. OR AODN5. ( ACC. BLOGS. I NEW CONSTR ULT LOUT LET NO N.R ESI O- BRANCH CIRC 'ITS @'5-00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 P 460 Ex. Occup. OUTLFIXEETS P(RESID )REA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County n consequence of the granting of this permit. X V'L/'u+, ` �I?1 (J� Date 1 Si nature of Applicant – Owner 9 pp ❑ Contractor ❑ Agent �j An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OccCONST TYPE , TOTAL FEE $ HA2 0FEES IMP I FLOOD I COF PARCEL PO HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.• YELLOW-ASSE330R• PINK -INSPECTOR. GOLDENROD -APPLICANT - 39-45-04(I 92-1277P;E$? %L I SHIVELY,Hallie 2510 Durham Dayton Hwy, Durham �= contr: ARtic Aire hyac/sf Y COUNTY OF BUTTE - DEPARTMENT OF PUBL WOkKg` PERMIT NO. f� 7 County Center Drive - Oroville, California 95965 - Telephone 916,'538.754f 92_1277 APPLICATION AND PERMIT r ASSESSOR PA14C L NUMBERZ 39-455-04 NIN gt1 I BUILDING PERMIT OWNER , M Hallie Shively TELEPHONE 043_7471 ' SO. ITS - O0C. BUILDING VALUATION OWNER'S MAILING ADDRESS 2510 Durham Dayton Hwy, Durha=93938 CONTRACTOR'S NAME Artic Aire H & AC TELEPHONE 895-3330 CONTRACTOR'S MAILING ADDRESS 2838 Hwy 32, Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ I Penalty $ BUILDING ADDRESS 2510 Durhm Dayton Hwv. Du Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 - Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCCMAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF[k Duplex❑ Mobilehome❑ Other j SPECIFY Gas piping system 1 - 5 outlets 5.00 S�QQ Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK ` New❑ Addition E] Remodel❑ Utilities❑ Installation E: -Other Describe work: gas line & hyac - Permit Fee $ 26.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1o0OA) _ CONTRACTORS LICENSE LAW I de la under penalty of perjury check one): P Y P l Y( ) 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force ani effect. License ;Jo._ /' �':� Classification F-1 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, DWELLING OCCUP.! OR ADDNS. (ACC. BLDGS. _37.50 3.64sq.ft. NEW CONSTR MULTI -OUTLET NON-RESID• BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20 76d (a 46 5600 FIXED APPLNS. ORQAL Ex. Occup. OUTLETS IRES' D.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ 18, QO — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to beg6me subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating • Cooling 9.00 LHood 6.50 Ventilation permit Fee $ L,2ontractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XTP r{ 1,: ,` r % , Date . Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 71.00 HAz I DFEES IMP I FLOOD CDF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provi- uty Code and/or resolutions to do sions of the BuJa,overfor work in�at d which fees have been paid. IOF UBLIC WORKS By _ Date L PE IT EXPI • Date Si nature aF Applicant - owner Signature pp ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and emolition or construct- ion of structures over 3 stories in height. fceipt No. 115451 WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT V—A14" � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise C -A - (916) 872-6307 CORRECTION NOTICE S u w 92- 1a-7-7 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. (z rn� T (o R hS 1 z W G c F � � (L i c (A �c2,)1cc, �Ij-;'IA L (�0Pl? nJ� � (s�S 1 t1r'1r11C i �(�0�/il�t Zrti(1T\Clrf Wlni L��r l�\3Ac IAtiII t2<<,. Date 3- 11 Inspector, REV 11/91 COUNTY OF BUTTE - DEPARTME-NT OF PUBLIC WORKS 7 County Center Drive - Orovllle, CaKdrnla 95965 - Telephone. 916,'538.7541 APPLICATION AND PERMIT PERMIT NO. 92-1277 ASSESSOR PARCEL NUMBER 39-45-04 ZONING BUILDING PERMIT OWNER 25X Hallie Shively ^ELEPHONE 343-7471 SQ. FT. OCC.1 BUILDING VALUATION,, - OWNER'S MAILING ADDRESS 2510 Durham Dayton Hwy, Durham 95938 CONTRACTOR'S NAME Artic Aire H & AC TELEPHONE 895-3330 CONTRACTOR'S MAILING ADDRESS 2838 Hwy 32, Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2510 Durham Dayton Hwy- Durham Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF [f Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5-005.00 Building sewer 15.00 Mobile Home I S I G JW 1 @ 15.00 TYPE OF WORK New❑I Addition ❑ Remodel❑ Utilities❑ Installation❑ Other® Describe work: oas 1 i nP & hvar _ Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. G? /.3 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.&) OR ADDNS. ( ACC. BLDGS. 3.60 sq.ft. NEWCONSR ULT' -OUTLET NO N.R ESI T BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 A EX. Occup. OUTLETS FIXED PIRESID IREA.T I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. yyirin g '15.00 Permit Fee $ 18-00 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating 9,00 Cooling g 9.00 Hood 6.50 Ventilation Permit Fee $ 33.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against , costs, and expenses which may in any way accrue all liabilities, judg �nseq agai, said Count 'n ence of the granting of this ermit. X Date Signature of ❑ Contractor A ❑ ent Appli ant - owner g An OSHAwork permit is required for excavations over 5'0" deep andYmolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE L TOTAFEE$ 71.00 HAz 0FEES IMP FLOOD CDF PARCEL PD HO SSUE This permit is hereby issued under the applicable sions of the Butte unty Code and/or resolutions in 'cat d a ove for which fees have been / Ifa CT OF UBLIC WORKS By 1 Date4t�_� PE MIT EXPIRE -9 Date -� provi- to do j paid. .. PJeceipt No. 115451 WHITE-D.P.W., YELLOW-A53(SSOR, PINK -INSPECTOR, GaLDENROD-APPLICANT I ... .-.�`i1r :[ fwis'•""+-.^ir+-•-•` .'+c;e..Y"'"-r'M''ii°Ma'lij•I�•,ittylF .,.q irFl ri. iut:'"t „'y; "ry'7 " . '{_ 1f 11 COUNTY OF BUTTE - DEPARTMENT ,QPr1BLIC WORKS'- BUILDING DIVISION / 1 4 7 COUNTY CENTER DRIVE - OROV�ILLE, CALIFORNIA 95965 =TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET , / �� %., .:• � '•% Permit No. OWNER 0. Proposed Building Use � Building Inspector Date., ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ;FPlot'-plan*s DATE RECEIVED APPROVED All items have been submitted . .................................... in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... . 12. Park fees paid .................................................... 13•School District fees paid . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of 1' (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval, required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 5 L Letter of signature authori atio ........... • ... • . , • • , 2 27. _ ,- When you issue the permit, process as follows: Mail to -owner. ail to contractor. Telephone and hold for pickup at off e. Deliver w/inspector. Other //'' Applicant 4—) .Da e Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date . By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data b;P_1 phone Contractor, designer, owner, was advised of above required data by—phone Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder i 1 _counter 11—counter by date l Date _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlller CBilfornla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R/ ' OD�FBUILDING ZONI PERMIT OWN1;R r TELEPHONE SO. FT. OCC. BUILDING VALUATION - 7421 -OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE - - CON RACTOR'S MAIJL/IN_G ADDRE �� / 3v� �'Pe Fireplace COl NDEW UNKNOWN Total Value tl0n ' $ Filing Fee $. 15.00 LENDER'S MAILING ADDRESS Permit Fee ; ArRCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECT FV Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK. . New ❑ Addition [I Remodel [:] Utilities ❑ Installation[] Other, Describe work: &J E; fN V L Permit Fee $ r Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AA00ORLESS 2OR LESS 18,50 Main service 200A TO 1000Al .37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification ❑ I, 'as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, contract -Mobile as•the owner,. am 'exclusively contracting with licensed contra rs. (Sec. 7044) o - El am exempt under Sec. ,. Business end Professions Code for this reason NEW CONST./ DWELLING OCCUP.SI) OR ADDNs. l ACC. BLDGS. 3.6Qaq.R. NEW OUTLET NON.RESIRESIOD. BRANCH CIRCUITS) @ 5.00 POWER APPARATUS S (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES J20L765 FIXED PR Ex. Occup. OUTLETS IRESIO IEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 . Wiring 9 • -15.00 ` Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one):. ❑ The permit is for $100.00 (valuation) or less:: •, _ ❑ I have placed on file with -the County -of Butte Building Department a Certificate of Workmen's Compensation. Insurance ora Certificate of Consent to Self -Insure. . r. - ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California... Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be'deemed revoked. Contractor ` • • MECHANICAL PERMIT FiIIngFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. alI also agree to save, indemnify and keep harmless the County of Butte against l liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee S occ CONST TYPE TOTAL FEE $ I I HA2 1 11 FEES I IMP I FLOOD I COF PAR EL Po HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date �� 5 I Receipt No. / WHITE.D.P.W., YELLOW-A38E330R, PINK -INSPECTOR, GOLDENROD -APPLICANT .y�li#`:�W..�;F:.;"/�f.3i�1;_`'•gis'�... ;4ye?jG; �ti�3"'�.tRot,^9�'RrM�lgf'V�.[`''!s�^"R`a.y'.zl!iF!"t�'LL"'1T�R�':•qi'".�•y',•.,'.7� a��3'j'�'It:^r ytp"'�i3��"w..^�1ili��'d�.+++.y..a�i.•si� F rSHIVELY, 9-45-04 3290-90B r Hallie510 Durham Dayton Hwy, Durham Contr: Butte Roofing (reroof/sf) 01 l • 4 ' 01 r7 —a. t .. COUNTY OF BUTTE - DEPARTMLNT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller Pa141QA95965 - Telephone: 916/538-7541 C).- f) APPLICATIONAND PERMIT - - ASS�E S50 Pr!j RCEL N MB ., -LSC' "(teaj ONIER Z BUILDING PERMIT OWNER / r T E L E P H C5 -NE SO. FT. OCC. BUILDING VALUATION OWNER' AILING ADDRESS le CONT C OR'S N ME TELEPH NE CONTRACTOR'S M ILIN ADDR SS „ Fireplace CONSTRUCTION LE DER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING A DRESS Permit Fee $ a ARCHITECT OR ENGINE R LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEE 'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 i Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W TYPE OF WORK New F-1 Addition Remodel❑ Utilities❑ Installation❑ Other Describe work: _ ` r-00ea Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I deet a under penalty of perjury check one): P Y P 1 Y ( )• I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in. full force d ffect. License No. .s i ti Dd Classification F1I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR AODNS. ( ACC. BLDGS. 2/20sgft NEW RESIC.MULTI-OUTLET NON•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occu p�OUTLETS OR FIXTURES 2o®60C 5AL®30 FIXED APLNS. Ex. Occup. OUTLETS PRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE , I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. AI have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL, PERMIT FiiingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said -County in conseque: a of t granting of this per it. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ALSCH 3_ J -D HAz CUA PARK FLD PAR PD HD ISSUE Th;s permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS (� By f /� PERMIT EXPIRES ate Receipt No. WHITE-D.P.W., YELLOW -ASS 5 OR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, €dfiftrnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. A SSESSO RCEL 'Ny MBER _L ? -00 ZONI P_ / BUILDING PERMIT OWNER IF / TELEPHONE ~ .SQ. FT. OCC. BUILDING VALUATION OWNER' AILING ADDRESS O CONT C OR'S AME Je TELEPH NEp— J CTOR'S M ILIN DD SS CONT 16 Fireplace CONSTRUCTION L DEF UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING A DRESS Permit Fee $ ,. ARCHITECT OR ENGINE R LICENSE NO. Pian Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEE 'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6111 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I dec re under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Codeand my license is in full force d ffect. License No. I& UO Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.& OR ACDNS. (ACC. SLOGS. 2/z¢sgft NEW CONSTR ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES - 20950c 30 X. EX. DCCUp. OUTLETS FIXED P(RESID,)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Coolin g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ounty inregue a of t granting of this per it. ci ` Signature of Applicant — Owner ElContractor ElAgent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ��'�b HAz CUA PARK SCHL ILD PAR PD I HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees RE TOR F PUBLIC By PERMIT EXPIRES Obate the applicable provi- resolutions to do have been paid. WORKS D to . Receipt No. _ WHITE-D.P.W., TELLOW-AS3 S OR, PINI( -INSPECTOR. GOLDENROD -APPLICANT / 3®7S J ` PERMIT NO. 3770-78B 17. t PERMIT EXPIRES 6/28/79 `OWNER H_ALLIF SHIVELY CONTR; Owner LOCATION (A.P. 39-45-4 " 480 Dayton Durham Hwy, Durham I =y t 'r A; 1� f# Temp. ower Pole___ C lied PG&E } Te . Elec. Serv. v Called PG&E ' T mp. Gas Serv. Called PG&E JOB FINALED (Signature) Scratch COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS I BUILDING INSPECTION RECORD Service BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Para et 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings ' Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing ze_—_: Q Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings r physically handicap e dde of ex. Conformance structure Appliances Gas Piping &Test Temp. Gas Slab Final A0? '— Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final SubDanels Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MULU,E MEINSTALLATION-------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 • APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X r Date 7 DIPEU)0,%0J PUBLIC WORKS Signature of Permitee or Agent Z_c / -0 By Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I U Ipermit expires Date BUILDING Owner Hall, SQ. FT. OCC. BUILDING VALUATION Mailing Address Tel hone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressNW DU Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �r^ Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 ans ec' Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ Ir00 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS too AMP OR LESS 5.00 SinSingle Family Duplex Mobil Home 9 Y P ❑ ❑ Others ❑ Main service EA. ADDtoo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBLDGSCCUP. Y) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR H CIR T NON.RESID (BRANCRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTI�RES s �� FIXED ALNS. Ex. Occup. ( OUT ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEEPERMIT FILING FEE $3.00 Heating . Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X r Date 7 DIPEU)0,%0J PUBLIC WORKS Signature of Permitee or Agent Z_c / -0 By Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I U Ipermit expires Date